Laparoscopic management of ureteral endometriosis

Curr Opin Obstet Gynecol. 2009 Aug;21(4):325-8. doi: 10.1097/GCO.0b013e32832e0798.


Purpose of review: Severe endometriosis is a leading cause of infertility and pelvic pain and represents one of the most challenging cases in gynecology. Ureteral endometriosis is a rare entity that can lead to ureteral obstruction with subsequent hydroureter, dilatation of the renal pelvis till kidney failure. Laparoscopic management of these lesions is considered the treatment of choice.

Recent findings: A few studies offer new insights into the laparoscopic management of ureteral endometriosis and the most common surgical procedures are described.

Summary: In cases of moderate-severe hydronephrosis due to ureteral endometriosis, laparoscopic ureteral transection (ureterostomy or ureterocystoneostomy) provides good results with low recurrence rates.

Publication types

  • Review

MeSH terms

  • Endometriosis / complications
  • Endometriosis / surgery*
  • Female
  • Humans
  • Hydronephrosis / etiology
  • Hydronephrosis / surgery*
  • Infertility, Female / etiology
  • Infertility, Female / surgery
  • Laparoscopy / methods*
  • Pelvic Pain / etiology
  • Pelvic Pain / surgery
  • Prognosis
  • Recurrence
  • Treatment Outcome
  • Ureteral Diseases / complications
  • Ureteral Diseases / surgery*